by Caroline Fife, M.D. | Feb 3, 2025 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests, CTP / Skin Substitutes
Office of Public Affairs | Arizona Couple Pleads Guilty to $1.2B Health Care Fraud | United States Department of Justice The Department of Justice (DOJ) office of public affairs has announced that on October 24, 2024, Alexandra Gehrke pleaded guilty to conspiracy to...
by Caroline Fife, M.D. | Jan 31, 2025 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests
A lot is being said about the way that the new LCD(s) around Cellular Tissue Products (CTPs) / skin substitutes might impact access to care. A big issue is around product choice and ensuring that there is a large enough suite of covered products from which physicians...
by Caroline Fife, M.D. | Jan 13, 2025 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests
The CGS J15 Contractor Medical Directors have given me permission to share the slide deck that was presented on December 20th, which was a training session on the upcoming “skin sub” LCD. This PDF of the slide deck reviews the LCD requirements for the treatment of...
by Caroline Fife, M.D. | Jan 10, 2025 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests
According to data obtained from SmartTrak Medical Device and Wound Market Intelligence, in the third quarter of 2024 (Q324), the US Skin Substitute / Cellular Tissue Product (CTP) market reached $1.75 BILLION. That figure is up 64.0% compared to the third quarter of...
by Caroline Fife, M.D. | Dec 30, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests
According to data obtained from SmartTrak Medical Device and Wound Market Intelligence, in the fourth quarter of 2024 ( Q424), the US Cellular Tissue Product (CTP) / Skin Substitute market grew 64.0% over the third quarter of 2023 (Q323). Three market leaders combined...
by Caroline Fife, M.D. | Oct 4, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests, CTP / Skin Substitutes
On September 18th, 2024, Erica Everhart and Zach Bredl posted an article on the Care Journey website about the impact of fraud and abuse in value-based care. Spending on CTPs/skin subs is not the only fraud problem faced by Accountable Care Organizations (ACOs),...
by Caroline Fife, M.D. | Oct 2, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests, CTP / Skin Substitutes
I’ve discussed the fact that nearly everyone is being audited by Medicare on their charges for Cellular Tissue Products (CTP’s) / Skin Substitutes. Depending on the type of audit, a practitioner can have to pay back not only the money they received for the...
by Caroline Fife, M.D. | Sep 18, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests
Hi Dr. Fife, I’m sure you’re receiving plenty of feedback on this topic, but regarding your question about whether providers can receive discounts on ASP products, I’ve consistently been told the answer is yes… at least, I hope it’s yes—otherwise, we’re all in...
by Caroline Fife, M.D. | Aug 23, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests, Skin Perfusion Pressure (SPP)
Last week I gave a talk at the Amputation Prevention Symposium entitled, “Elevate the CLI Patient’s Voice: Why it is so Important to do the Right Thing?” I have to confess that when the meeting organizers first asked me to explain why it’s important to do the...
by Caroline Fife, M.D. | Aug 14, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests, CTP / Skin Substitutes
Susan Paquette, the VP of the Wound division of SmartTRAK, recently posted an article on that company’s blog about the Cellular Tissue Product (CTP) / skin substitute industry. SmartTRAK provides market intelligence on industry trends and has been closely watching the...